Video & Transcript Research : 'basic care'
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TX
Texas 89th 2nd C.S.
S/C on County & Regional Government Apr 21st, 2025
S/C on County & Regional Government
Transcript Highlights:
- Some maybe the sheriff takes care of that in the county.
- rely on impulse buying without any guidance on care, breed traits, or health issues.
- Without intervention, these gaps will limit access to care and strain local health care systems.
- Without intervention, these gaps will limit access to care and strain local health care systems.
- He's now the house manager at the very home, caring for disabled veterans.
Bills:
HB240
Summary:
The subcommittee heard a series of county and regional government bills, with most measures left pending after testimony. HB 2097 would let counties that opt in give sheriff’s deputies an alternative appeal route for certain discipline cases through an independent hearing examiner instead of the Civil Service Commission. The author and a CLEET witness said it would be faster, cheaper, and fairer; questions focused on why the bill was needed and whether sheriffs could already use such a process. No opposition testified, and the bill was left pending.
HB 4642 drew extensive testimony after the author said it was prompted by a death involving an out-of-state jail contract. The bill would require counties contracting with out-of-state jail facilities to include Texas-like jail standards and oversight provisions. The author, a former detainee held in Louisiana, his wife, and a Texas Jail Project advocate described poor conditions, lack of accountability, and multiple deaths of Texans housed out of state. The Texas Commission on Jail Standards director said five counties are currently housing 1,251 Texas inmates out of state, mostly because of staffing shortages, and said the bill would give the commission more authority and oversight. The bill was left pending.
The committee also heard HB 4350, which would allow peace officers to request redaction of personal information from online real property records. Supporters said officers face retaliation risks and should have protections similar to judges and other officials; a title industry witness cautioned that redaction should not compromise the integrity of land records. The bill was left pending. HB 3687 would require county fire marshals in counties over 100,000 to meet specified training and certification standards, and HB 4105 and HB 4205 would give Harris County preferences in construction contracting and require pay parity for comparable law enforcement ranks within the county, respectively; all drew support from county officials and were left pending. HB 5403 would repeal a special rule requiring Dallas and Tarrant county sheriffs to get commissioners court approval for commissary disbursements, and it was also left pending.
Later, HB 4462 would let elected county officials in large counties choose outside counsel in civil cases involving them, rather than relying solely on the county attorney. Supporters argued this would reduce conflicts of interest and protect officials’ reputations; questions centered on who qualifies and whether it could conflict with county interests. Finally, HB 240 would restore a five-member quorum requirement for Harris County tax levies, effectively requiring all commissioners to be present before a new tax rate can be adopted; supporters framed it as a taxpayer protection, while the Conference of Urban Counties opposed it as giving one member a de facto veto and potentially disrupting the budget process. Both bills were left pending.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 13th, 2026 at 01:35 pm
House Appropriations & Finance
Transcript Highlights:
- And it's composed of basically three different revenue sources: general fund revenue, other transfers
- So we basically have a wash when you look at those two revenue components.
- And we basically get three kinds of funds. And we also get what's called program income.
- Now, what we've talked about is that we have basically cleared the DD waiting list, right?
- And that means to basically have your case process.
ND
North Dakota 2026 1st Special Session
Employee Benefits Programs Committee May 7th, 2026 at 10:00 am
Employee Benefits Programs Committee
ND
North Dakota 2025-2026 Regular Session
Employee Benefits Programs Committee May 7th, 2026
Transcript Highlights:
- cost of care.
- My general view is that that basically kept us whole.
- issues, family care issues, et cetera.
- Family care issues, etc.
- Some of that is preventative care.
Summary:
The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts.
After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
TX
Transcript Highlights:
- Chair: ...for health care costs for health care. Thank you. All right.
- Is that the supplemental for UTMB care?
- Speaker: ...for UTMB care.
- We all have to be very, very careful with that.
- We all have to be very, very careful with that.
Bills:
SB 1
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- And I understand that I heard both of you comment about child care.
- This woman is working in health care.
- “This woman is working in health care.
- care as well, because, I mean, you have an entire ecosystem just within health care itself.
- It impacts our home group, our kids A, our kids B, everything basically but long-term care, SSI, and
Summary:
The meeting focused on Arkansas’s proposed workforce system overhaul, including a combined WIOA/Perkins state plan and a package of federal waiver requests intended to consolidate workforce governance, reduce administrative costs, and redirect more funding to training and supportive services. Commerce officials said the plan would replace the current structure of 10 local workforce boards and more than 200 board members with a single statewide board and one administrative entity, while keeping local offices open and using regional business councils to preserve employer and local input. They said the state has already reduced Commerce headcount and operating costs, and that the changes would improve coordination with higher education, adult education, vocational rehabilitation, DHS, and Arkansas Industry Connect.
Much of the discussion centered on the waiver package, especially the proposal to make the state board function as the local board, allow more flexible movement of funds across regions, eliminate the WIOA “last dollar” requirement for training and supportive services, create affiliate sites instead of requiring every area to maintain a comprehensive center, and relax the 14 youth program element requirement. Officials said the State Board of Workforce Development approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor, and that implementation would begin only after federal approval and a closeout process, likely taking up to a year. They also described plans to streamline referrals and data sharing, expand mobile and virtual services, and use a more centralized model to improve customer service and employer engagement.
Members raised repeated concerns about rural representation, local control, board composition, and whether jobs and relationships would be lost if local boards were eliminated. Commerce officials responded that local offices would remain open, some current staff could be rehired by the state, and regional business councils would help ensure local employer voice. Several members also questioned how the funding was being used, citing audit findings that only about $1.8 million to $1.9 million of roughly $14 million to $15 million in federal workforce funds had gone to training and supportive services. Officials said the reorganization could increase annual training spending to roughly $6 million to $7 million by reducing overhead, one-stop operator contracts, and board administration. The committee also discussed how the changes might support workforce training facilities, apprenticeships, child care and transportation assistance, and employer-driven training in fields such as manufacturing, health care, technology, and welding.
The Division of Higher Education also briefed members on Workforce Pell. Officials explained that the new federal program would extend Pell eligibility to short-term programs, but only within narrow limits, such as 150 to 599 clock hours and 8 to 15 weeks of instruction, with additional completion and employment benchmarks. They said Arkansas is working with colleges and universities to identify programs that fit the criteria and that the governor has designated the Division of Higher Education to lead implementation. No votes were taken by the committee during this portion of the meeting.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (02/11/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- Very crystal-clear care of our partners, making sure that we're taking care of them adequately, making
- /c> that we're taking care of them that we're taking care of them adequately,<00:46:28.640>
making - That's also basic you're selling.
- little bit to help uh basically little bit to help uh basically basically<00:54:18.160>
all - that then that kind of would take care that then that kind of would take care of<01:53:35.840>
MN
Transcript Highlights:
- So, so basically, small applications.
- in-home hospice care. in-home hospice care.
- It's not taking care of their family.
- <00:34:32.879>
for goal of ensuring workers can care for goal of ensuring workers can care - seriously ill and you needed to care is seriously ill and you needed to care for<00:56:33.760>
them
NM
Transcript Highlights:
- So we basically expected that for.
- recommendation for the health care authority would increase by about 2.6%.
- So when we talk about when we get into child care, we want to see who is getting the child care vouchers
- care Options.
- So they're already paying, now they can go and get free care.
ND
North Dakota 2025-2026 Regular Session
Artificial Intelligence and Data Center Committee Jul 15th, 2026
Transcript Highlights:
- Just some of the problems that we've basically solved— ...some of the problems that we've basically solved
- They can basically get things done for you.
- We have to be very careful about that.
- But it's something that we have to be careful about.
- So it should help take care of some of that.
Summary:
The committee held its first meeting on artificial intelligence and data centers, established a quorum, and heard introductory remarks from Majority Leader Hogue and the chair about the committee’s charge. Members said the goal was to build a factual foundation on AI, hear from experts and stakeholders, and develop practical North Dakota-focused recommendations rather than simply produce a large volume of bills. Legislative Council also reviewed interim committee rules and procedures before the informational presentations began.
Staff and NCSL presenters then gave overviews of AI concepts and the state and federal policy landscape. The background memo and presentations covered AI categories and terms, state laws in areas such as consumer protection, algorithmic discrimination, deepfakes, chatbots, children’s safety, health, education, and government use, as well as data center siting and economic impacts. NCSL described a growing number of AI bills introduced and enacted across the states, with comprehensive laws in places like Utah, Colorado, Texas, California, and Illinois, and noted recurring issues around transparency, privacy, liability, and protections for minors.
A major focus of the discussion was federal preemption and the tension between state regulation and national AI policy. NCSL said a recent White House executive order and related federal framework seek a light-touch, innovation-friendly national standard, with possible challenges to state laws and possible funding conditions tied to compliance, though no broad federal preemption has yet been enacted. Members asked about Commerce Clause concerns, industry pushback, oversight models, and whether AI policy is bipartisan; presenters said the issue cuts across party lines, with broad agreement on child safety and deepfake restrictions but more disagreement on broader regulatory approaches. No votes or formal actions were taken at the meeting, and the committee recessed briefly for technical issues during the second presentation.
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 05/07/26
State and Local Government
Transcript Highlights:
- And I'm just flagging for you all that sometimes here you have to be very careful.
- So, basically both amendments are somewhat technical.
- >
are So, basically both amendments are So, basically both amendments are somewhat<00:26:30.360 - > some<00:32:21.200>
recommendations the A1 basically is some recommendations the A1 basically - allows<00:32:35.120>
utilities And basically it just allows utilities And basically it just
MN
Minnesota 2025-2026 Regular Session
House Capital Investment Committee considers HF2418 4/30/25
Transcript Highlights:
- Uh so, it's a checkbox basically is what I'm understanding.
- Uh so, it's a checkbox.<00:03:46.879>
basically <00:03:47.280>is <00:03:47.519>what< - /c><00:03:47.680>
I'm checkbox. basically is what I'm checkbox. basically is what I'm understanding - how to do checklist is for basically how to do capital<00:09:07.200>
maintenance <00:09:07.440 - about this issue stakeholders who care about this issue and<00:13:31.360>
we've <00:13:31.680>
Summary:
The committee heard House File 2418 from Representative Tabke, a policy bill focused on requiring local governments seeking state bonding support to show whether they have a capital maintenance or preservation plan for the project. The bill was described as a continuation of work with Chair Lee and others to ensure that when the state invests in local capital projects, the local jurisdiction has a plan to maintain the asset over time rather than returning later for additional state funding. Representative Tabke emphasized that the proposal is not intended to block projects, but to provide information to the capital investment process and encourage responsible long-term planning.
Members asked several questions about how the requirement would work in practice, including whether a “no” answer on the maintenance-plan checkbox would disqualify projects, how the rule would apply to small communities, and whether major infrastructure such as wastewater or sewer projects would be exempt. Tabke clarified that the intent is informational and that projects without a maintenance plan should raise concerns, but that the proposal would not apply to major utility projects with separate funding mechanisms. He also explained that the earlier draft had been simplified after input from MMB, and that the adopted DE4 amendment adds the requirement through section 16A.86 for political subdivisions submitting bonding requests.
Chair Lee and other members supported the concept as a way to ensure state-funded assets are maintained locally and not repeatedly returned to the state for repairs decades later. One member requested clarifying language to make sure the bill does not apply to water treatment or sewer projects, and Tabke agreed that such language could be added. Tabke said the language had been developed with stakeholders including the League of Minnesota Cities, Coalition of Greater Minnesota Cities, and small cities, and that they had agreed on the approach. The committee adopted the DE4 amendment and then laid House File 2418 over for possible future consideration.
TX
Transcript Highlights:
- I have been providing care for both primary care and mental health care in the rural areas for over 22
- We provide the only access to primary care and mental health care in those counties, and it includes
- providing care in foster care facilities.
- This bill allows for these contracts only for primary care physicians or primary care physician groups
- If your deductible is $5500 why do you care, right?
Bills:
HB139
KY
Kentucky 2025 Regular Session
Public Pension Oversight Board (1-27-25)
Transcript Highlights:
- I think it puts them in control of their health care benefit.
- this health benefit to healthc care this health benefit to healthc care inflation<00:13:11.160><
- <00:25:14.880>
of natural progression of taking care of natural progression of taking care - established uh I federal law basically established uh I federal law basically in<00:27:47.679>
<00:42:11.480>it <00:42:11.599>says basically basically what it what it says basically
Keywords:
Meeting Start: 00:02
Attendance Roll Call: 00:49
Approval of Minutes: 01:55
CERS Retiree Health Subsidy Proposal: 02:14
SB 58: 24:05
TRS Sick/Annual Leave Proposal: 32:53
Adjournment: 48:00, 958, all
Summary:
The committee first approved the prior month’s minutes after a roll call established a quorum. It then heard testimony on a draft proposal from Senator Robbie Mills to increase CERS retiree health subsidies for members retiring on or after July 1, 2003. The bill would raise the non-hazardous subsidy from $14.63 to $40 per month per year of service and the hazardous-duty subsidy from $21.94 to $50, with employee contribution rates adjusted based on the health trust’s funded status. Supporters from sheriffs, firefighters, police chiefs, and the Kentucky League of Cities said the change would improve recruitment and retention, better align the subsidy with the cost of a single health plan, and preserve the system’s financial footing through shared employer-employee costs and funding triggers.
Committee members asked about the fiscal impact, the effect of funding levels above 150%, and how the subsidy would work for rehired retirees or employees who later take private-sector jobs. Mills and other witnesses said preliminary actuarial work was still forthcoming, that the bill was intended to be revenue-neutral or close to it, and that the subsidy would continue to be paid monthly; they also noted existing 2008 rules for rehired retirees and said the benefit would still be available even if a retiree later had other insurance. One member suggested looking at stable accounts as an additional option for special-needs planning in a later bill.
The committee then heard Senate Bill 58 from Senator Robin Webb, which would allow state employees to designate a Special Needs Trust as a beneficiary for retirement benefits. Webb said the measure would help employees provide for disabled dependents without jeopardizing SSI or Medicaid eligibility, and that the bill follows federal special-needs trust rules. He said the proposal could be revenue neutral, but actuarial analysis was still pending and KPPA had asked for electronic rather than paper transfer provisions. Members questioned whether the authority already exists, how the trust would work, and whether stable accounts should also be considered; Webb said he would follow up with additional information.
HI
Transcript Highlights:
- And Healthc Care Association of Hawaii.
- you have related to our student basic you have related to our student basic needs<00:08:46.320><
- And like so many, I also care about animals.
- So, chair, please, as amended. care about animals. This an important care about animals.
- So I shortage in the animal care field.
Summary:
The Committee on Higher Education held a resolutions hearing on March 19 and heard testimony on a series of University of Hawaii-related measures. Topics included exploring an Alzheimer’s disease research center and federal funding requirements, establishing a BSN program at UH Maui, expanding student mental health services, supporting Hawaiian language resources at the Kawaihuani Center, creating a homeless student stability and housing resource program, forming a veterinary medicine expansion working group, and compiling a list of bachelor’s programs aligned with regional job needs. Testimony was generally supportive, with UH representatives often noting that several initiatives were already underway or that systemwide assessments and planning processes were in progress. For the veterinary medicine measure, UH said Windward Community College would not be the ideal location for a doctoral program, but the system would be willing to study the issue systemwide. For the Maui nursing program, UH said it had already received authorization to plan and was working through the curriculum approval process, with a goal of offering the program in fall 2026. For the student basic needs resolution, UH said a systemwide assessment covered all campuses and islands, with a report expected in summer or fall.
In decision making, the committee recommended passage of HCR 31/HR 30, HCR 73/HR 66, HCR 96/HR 92, and HCR 97/HR 93 as is, and all were adopted without objection. HCR 124/HR 120 and HCR 125/HR 121 were passed with amendments, including a technical amendment and a request to send a certified copy to the Kawaihuani Center director. HCR 195/HR 188 was passed with amendments to add a UH Hilo representative to the veterinary working group, and HCR 196/HR 189 was passed with amendments to include UH and HMC in the list of schools developing job-aligned bachelor’s program lists and to incorporate HMSO style changes. The committee then adjourned.
TX
NH
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- She could have that child care cost subsidized by our agency.
- So this woman is working in health care.
- And then would not need to have her child care subsidized.
- , and not just nursing, but other forms of health care as well.
- It impacts our home group, our kids A, our kids B, everything basically but long-term care, SSI, and
Summary:
The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs.
Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor.
Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Jul 7th, 2026
Health & Human Services
Transcript Highlights:
- The first bucket is inpatient care.
- The first bucket is inpatient care.
- , and you have outpatient care.
- We struggle with barriers to care as it relates to processes and court systems... ...to care as it relates
- The default should be a higher level of care.
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 29th, 2026
California House Floor Meeting
Transcript Highlights:
- It has 22,000 new child care slots.
- Services for prenatal care and related services.
- downstream health care savings.
- the health care they need and deserve, and it expands access to menopause care by requiring health plans
- It funds abortion care and reproductive care and LGBT care and menopause care, which, by the way, isn't
Summary:
The Assembly convened after a quorum call, prayer, and pledge, then moved through a largely procedural session with several unanimous-consent motions, guest introductions, and budget-related trailer bills. Members also adopted resolutions recognizing June as Dairy Month and June 2026 as Electronic Dance Music Month, and later approved H.R. 88 commemorating the 250th anniversary of the Declaration of Independence. Guest introductions highlighted the Los Angeles Dodgers, San Diego Kappa League, Assembly staff member Mukhtar Ali, and Jennifer Levy, who is advocating against drunk driving after the death of her son.
On the floor, the Assembly considered a series of Senate budget trailer bills presented by Assembly Member Gabriel. SB 170 reorganizes housing and homelessness agencies; SB 171 makes labor-related cleanup changes; SB 172 addresses general government, broadband, and NextGen 9-1-1; SB 174 extends remote court hearings and related court provisions; SB 177 advances options related to Medi-Cal and employer contributions; SB 180 extends the California Competes tax credit and conforms tax treatment for certain savings accounts; SB 169 covers transportation and DMV-related provisions; SB 168 creates a zero-emission vehicle incentive program and other clean-energy changes; SB 166 implements natural resources and environmental protection budget items; SB 165 extends the skilled nursing facility financing framework; SB 163 updates developmental services; and SB 135 funds higher education initiatives, including community college enrollment and Cal Grant changes. Most of these measures passed with bipartisan support, though several drew opposition over concerns about bureaucracy, fees, oversight, or policy direction.
The Assembly also passed SB 719, which updates vehicle-related protections for domestic violence survivors, SB 97, an urgency bill making clarifying changes to digital financial asset law, SB 1350, which supports hydrogen and clean energy development, and SB 1344, which aims to reduce meritless lawsuits delaying affordable and supportive housing projects. AB 182, which sets the order for proposition numbers on the November ballot, was approved despite criticism that it manipulates the ballot numbering process. Votes on the measures were recorded, with many passing on strong margins and several transmitted immediately to the Senate or Governor as noted in the proceedings.